169902 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
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ONE CIVIC SQUARE FITNESS FIXX CHECK AMOUNT: $45.00
CARMEL, INDIANA 46032 11650 LANTERN RD STE 216
r FISHERS IN 46038 CHECK NUMBER: 169902
CHECK DATE: 3/1812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350000 5886 45.00 EQUIPMENT REPAIRS M
4
FIT f S F IXX .P A f Invo
v ®i c e
11650 Lantern Rd., Ste. 216 �T`
Fishers, IN 46038 (317)435 -3646 ®�flg DATE INVOICE
F EB
2/16/2009 5886
1-
BILL TO SHIP TO
Cannel Clay Parks and Recreation Cannel Clay Parks and Recreation
1235 Central Park Drive East 1235 Central Park Drive East
Carn]el, IN 46032 Camel, IN 46032
P.O. NO. TERMS DUE DATE
211093JM Net 30 3/18/2009
DESCRIPTION QTY RATE AMOUNT
PM Discount Labor for one technician 1 45.00 45.00
Purchase
Description
P.O.# PorF
G.L Uo 50000 F
Budget i
U neDesor 'S 0-nd mat-4, FEB 2 2009
Purchaser Date a 3/ 07 1
App Date 1 /tom' B
Remember to use our Online Service Request Form for Future Service.
T otal $45.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
360856 Fitness Fixx Terms
11650 Lantern Rd., Ste. 216
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/16/09 5886 Treadmill repair 45.00
Total 45.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
360856 Fitness Fixx Allowed 20
11650 Lantern Rd., Ste. 216
Fishers, IN 46038
In Sum of
45.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 5886 4350000 45.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
12 -Mar 2009
Signature
45.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund